Provider Demographics
NPI:1578674651
Name:CORRECT RX PHARMACY SERVICES INC
Entity type:Organization
Organization Name:CORRECT RX PHARMACY SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF PURCHASING
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TRISTANI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-557-0022
Mailing Address - Street 1:1352 CHARWOOD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3125
Mailing Address - Country:US
Mailing Address - Phone:443-557-0100
Mailing Address - Fax:443-557-0333
Practice Address - Street 1:1352 CHARWOOD RD
Practice Address - Street 2:SUITE C
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3125
Practice Address - Country:US
Practice Address - Phone:443-557-0100
Practice Address - Fax:443-557-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336M0002X, 3336I0012X
MDPW02343336L0003X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2038011OtherPK
MD401995400Medicaid
4880770001Medicare NSC